by Proactive LTC Consulting | Jun 18, 2024 | Documentation, MDS, Nursing, PDPM, Q&A, Reimbursement
Q: We have a resident who has a progress note documenting that resident requested HOB to be elevated because when lying down flat he can’t “catch his breath.” He doesn’t have COPD but he does have pulmonary fibrosis which is listed on his hospital H&P and receives... by Proactive LTC Consulting | May 1, 2024 | Compliance, Documentation, Medical Review, Nursing, SNF, Therapy
Audits are on the rise! Skilled nursing facilities (SNFs) are at an all-time high when it comes to active medical review. From the SNF 5 Claim Probe and Educate and individual Medicare Advantage reviews, to recovery audit contractors (RACs) and Supplemental Medical... by Proactive LTC Consulting | Feb 13, 2024 | Behavioral Health, Blog, Compliance, Documentation, Education, Regulatory
Behavioral health issues in skilled nursing facilities (SNFs) require meticulous documentation to ensure proper care and compliance with regulations. Accurate documentation not only facilitates effective treatment but also helps in addressing legal and regulatory... by Proactive LTC Consulting | Feb 6, 2024 | Blog, Compliance, Documentation, ICD.10, MDS, Nursing, PDPM, Reimbursement, SNF
PDPM coding and reimbursement success relies significantly on ICD-10 coding accuracy. In particular, the impact of ICD.10 coding on the clinical category, SLP, Nursing, and NTA comorbid diagnoses cannot be overstated; Medicare reimbursement for SNF services depends on... by Proactive LTC Consulting | Jan 17, 2024 | Blog, Documentation, Nursing, Regulatory
With 2024 underway, it’s time to focus on what we would like to accomplish in the next 350 days remaining in the year. If you haven’t already created one, consider these goals for your DON New Year’s Resolution list. Be Survey ready 365 days a year. This is not... by Proactive LTC Consulting | Jan 9, 2024 | Documentation, Q&A
Q: I heard we don’t have to code urinary tract infection (UTI) in section I if it doesn’t meet the McGeers requirement, but my DON is telling me I do have to code it. Can you clarify? A: Urinary Tract Infections that do not meet evidence-based criteria...